Affidavit of compliance with section 2-11.1(bb) Levine 1,E aye.
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MIAMI-DADE COUNTY COMMISSION ON ETHICS & PUBLIC TRUST
AFFIDAVIT ATTESTING TO COMPLIANCE WITH SECTION 2-11.1 (bb) OF THE
MIAMI-DADE COUNTY CONFLICT OF INTEREST AND CODE OF ETHICS ORDINANCE
I �" , having been duly elected to serve as ,
(print or type name) (Ti e)
in the city/town/village of /QIe do hereby depose under oath or affirmation, that I have read
the Miami-Dade County onflict of Interest and Code of Ethics Ordinance and agree to comply with the
provisions of said ordinance.
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Signat, e o ,7(tad official D 1e
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ST: ` OF FLORIDA ,
C 4 TY OF it-11.614/— I ci de_
Sworn to(or affirmed)and subscribed before me
this ,�t/tday of ,20 jr- lltlUlR1®EAUCMAMP
by p1 11 LP U 7
(Nam- of Person Maki _ Statement ; • COMM.Eros May 54018
. _ - Al! _��..._� Commission 0 FF 119190
(Sign.ture of Notary Public, State of Flori•a)
1_11 I!°A /3-4) A UC l4rr
(Print,Type,or Stamp Commission&IName of Notary Public)
Personally known to me ,/
or
Produced Identification
Type of Identification Produced:
1